Rating System Research Articles

An Indigenous climate justice policy analysis tool

ABSTRACT Climate action threatens to exacerbate existing social inequities, so it is important for justice to be at the heart of national responses to climate change. Based on an understanding of climate change as a manifestation of severed relationships and exploitative dynamics that are produced and reproduced through colonial, capitalist, patriarchal systems, we argue that the ways in which we conceptualize and enact climate justice must be decolonial, ecocentric, relational and integrative. Consistent with this positioning, we sought to develop an Indigenous climate justice policy analysis tool to assess and inform policy development. We drew on elements of existing frameworks and tools to develop a tool, which was progressively refined following external advisory group review and piloting. The tool addresses five dimensions of justice (relational, procedural, distributive, recognition and restorative), each of which comprises individual criteria assessed according to three levels of achievement. This rating system acknowledges progress within existing social, political and economic systems, but also identifies system transformation as a prerequisite for achieving genuine justice. Application of the tool focuses attention on issues well beyond typical climate policy considerations, such as the capacity of all human and non-human entities to express political agency. The tool has been developed for use in analysing national climate policy in Aotearoa New Zealand, but we have endeavoured to make it adaptable for use in other settings.

A Comparative Analysis of Low-Carbon Design Strategies for China’s Higher Education Parks Based on Building and Urban Scale in Sustainability Rating Systems

In the global context of carbon neutrality, higher education parks are an important strategic position for achieving China’s goal of carbon peaking and carbon neutralization. Strategies from the perspective of life cycle to guide early low-carbon planning and design are an effective way to achieve carbon emission reduction goals. As the scale of university construction gradually expands, the “urban” attributes of them are becoming prominent. However, there is no quantitative study on analyzing the life cycle carbon emission strategies at both the building and urban scale based on sustainability rating systems. This study first extracts the design strategies according to BREEAM, LEED, DGNB and relative assessment standards for campuses and cities in China at the building and urban scale based on the 7-dimensional low-carbon strategy framework, then sorts out and compares the proportions of carbon-emission-related strategies across various dimensions and life cycle stages. It then summarizes the applications and concerns of low-carbon design strategies at different design scales. Finally, the weighting and calculation methods of life cycle carbon emissions in different sustainability rating systems are compared, the scope and methods of carbon emission benchmarks under different standards are compiled, and the evaluation method for locally applicable carbon emission benchmarks in China is proposed in light of China’s national conditions, which provides guidance for the design process and standard formulation.

Variation in Postoperative Outcomes Across Federally Designated Hospital Star Ratings

Despite widespread use to guide patients to hospitals providing the best care, it remains unknown whether Centers for Medicare & Medicaid Services (CMS) hospital star ratings are a reliable measure of hospital surgical quality. To examine the CMS hospital star ratings and hospital surgical quality measured by 30-day postoperative mortality, serious complications, and readmission rates for Medicare beneficiaries undergoing colectomy, coronary artery bypass graft, cholecystectomy, appendectomy, and incisional hernia repair. This cohort study evaluated 100% Medicare administrative claims for nonfederal acute care hospitals with a CMS hospital star rating for calendar years 2014-2018. Data analysis was performed from January 15, 2022, to April 30, 2023. Participants included fee-for-service Medicare beneficiaries aged 66 to 99 years who underwent colectomy, coronary artery bypass graft, cholecystectomy, appendectomy, or incisional hernia repair with continuous Medicare coverage for 3 months before and 6 months after surgery. Centers for Medicare & Medicaid Services hospital star rating. Risk- and reliability-adjusted hospital rates of 30-day postoperative mortality, serious complications, and 30-day readmissions were measured and compared across hospitals and star ratings. A total of 1 898 829 patients underwent colectomy, coronary artery bypass graft, cholecystectomy, appendectomy, or incisional hernia repair at 3240 hospitals with a CMS hospital star rating. Mean (SD) age was 74.8 (7.0) years, 50.6% of the patients were male, and 86.5% identified as White. Risk- and reliability-adjusted 30-day mortality rate decreased in a stepwise fashion from 6.80% (95% CI, 6.79%-6.81%) in 1-star hospitals to 4.93% (95% CI, 4.93%-4.94%) in 5-star hospitals (adjusted odds ratio, 1.86; 95% CI, 1.73-2.00). There was wide variation in the rates of hospital mortality (variation, 1.89%; range, 2.4%-16.2%), serious complications (variation, 1.97%; range, 5.5%-45.1%), and readmission (variation, 1.27%; range, 9.1%-22.5%) across all hospitals. After stratifying hospitals by their star rating, similar patterns of variation were observed within star rating groups for 30-day mortality: 1 star (variation, 1.91%; range, 3.6%-12.0%), 2 star (variation, 1.86%; range, 2.8%-16.2%), 3 star (variation, 1.84%; range, 2.9%-12.3%), 4 star (variation, 1.76%; range, 2.9%-11.5%), and 5 star (variation, 1.79%; range, 2.4%-9.1%). Similar patterns were observed for serious complications and readmissions. Although CMS hospital star rating was associated with postoperative mortality, serious complications, and readmissions, there was wide variation in surgical outcomes within each star rating group. These findings highlight the limitations of the CMS hospital star rating system as a measure of surgical quality and should be a call for continued improvement of publicly reported hospital grade measures.

Applying the Rupture Resolution Rating System to emotion-focused couple therapy.

Alliance ruptures and their repair are robustly associated with outcomes in individual therapy. Little is known about these processes in couple therapy, despite the acknowledged challenges of nurturing the alliance when working with two parties in conflict. One factor contributing to this gap in the literature is the lack of an instrument to capture ruptures and repair in couple therapy. We adapted the Rupture Resolution Rating System (3RS)to identify ruptures and repairs in couple therapy at the within-system (between the two partners) and the between-system (between each partner and the therapist) levels. Sessions from one couple with good outcome and one couple with poor outcome were coded. Couples were in therapy to deal with emotional injury. Rupture-repair events in both the within-system and between-system were common. The couple with the poor outcome showed greater levels of rupture with the therapist. The injured partners (vs. injurer partners) demonstrated higher frequencies of ruptures.

Rating Anticipation and Strategic Downward Selection in Consumer‐Generated Rating Systems: Evidence from a Peer‐to‐Peer Platform Market

Rating Anticipation and Strategic Downward Selection in Consumer‐Generated Rating Systems: Evidence from a Peer‐to‐Peer Platform Market

Is air pollution the original sin of firms? The impact of air pollution on firms' ESG scores

This is the first article to demonstrate the negative impact of air pollution as an informal institution on firms' ESG scores with listed manufacturing firms in China from 2010 to 2020. It is based on causal attribution theory and risk perception theory. We argue that, under the current ESG rating system, air pollution issues may be overly attributed to firms, resulting in decreased ESG scores. We find that when PM2.5 pollution concentration increases by 1 μg/m3, firms' ESG scores decrease by roughly 0.3 points. These results remained significant after a series of robustness tests and instrumental variable regressions. We find that firms in heavily polluting industries are almost twice as affected as those in non-heavily polluting industries. The negative impact on labor-intensive firms is also significantly higher than the impact on capital-intensive firms. State-owned firms and large-scale firms are less affected than private firms or small firms. The results show that information asymmetry is an important influencing mechanism. Firms can reduce the negative influence of air pollution through active information disclosure and external media reports. We note that air pollution can also decrease firms' ESG scores by increasing firm survival risks. Our results enrich the ESG literature and contribute to the understanding of the impact of informal institutions on firms' ESG scores.

Optimal energy management based on real-time performance analysis for the solid oxide fuel cell-combined heat and power system

In order to realize the efficient and stable operation of the solid oxide fuel cell (SOFC)-combined heat and power (CHP) system in the typical applied scenario, three different energy management schemes are proposed in this study. First, a coupled calculation model of the solid oxide fuel cell-gas turbine-combined heat and power (SOFC-GT-CHP) system with a rated power of 30 kW for the SOFC stack is constructed. The inlet temperature and inlet pressure of the SOFC stack are optimized. The recommended design for the proposed system is thence obtained. Second, three operation schemes of SOFC-GT-CHP are proposed. They consist of the operation scheme of single-stack, multi-stack and optimal operation scheme coupled with vanadium redox flow battery (VRB). Finally, four types of typical applied scenarios in North China are selected. The real-time performance of the SOFC-GT-CHP system when applying three different operation schemes is obtained and comparatively analyzed. The results are presented as follows. First, the SOFC-GT-CHP system achieves a rated power of 44.50 kW and a rated system efficiency of 47.20 % when the inlet temperature and pressure of the stack are preferably 505 °C and 709.1 kPa. Second, the application of the multi-stack SOFC-GT-CHP system has the advantage of high efficiency in the low-load operation domain. With a net output power at 20 kW, the time average efficiency of SOFC-GT-CHP is increased from 38.37 % to 46.96 %. Finally, the SOFC-GT-CHP system achieves the highest time average generation efficiency of 46.13 % in the hotel applied scenario when applying the optimal operation scheme coupled with VRB. This meets the practical operation requirement of the SOFC stack. The reduction of the net output power range of SOFC-GT-CHP is 67.87 %. It shows that the optimal operation scheme is efficient and stable. The study can provide a reference for the energy management of the SOFC-GT-CHP system in typical applied scenarios.

Exergoeconomic assessment of a multi-section solar distiller coupled with solar air heater: Optimization and economic viability

This study focuses on optimizing the solar distiller and provides a foundation for future research and development in solar distillation technologies. This paper does an exergoeconomic analysis of a multi-section solar distiller (MS-SS) system that is combined with a solar air heater (SAH). Therefore, its objective is to determine the most effective operational and design parameters while taking into account the system's lifespan and interest rate. This will offer significant knowledge for improving the MS-SS. Key parameters examined in the study include exergoeconomic indicators, exergy production factor (EPF), exergy-based loss rate, exergy efficiency, and water cost. Variations in exergy loss rate across different seasons were observed, with implications for system efficiency. The exergoeconomic analysis demonstrates the impact of interest rates on the system's economic viability, with corresponding effects on water costs. The key findings suggest varying daily output and exergy efficiency, with the lowest values recorded in winter and the highest in summer. Summer demonstrates superior output exergy, averaging of 145 × 103 Wh per month. In the normal case of output salinity between 0 and 500 ppm, the cost was reduced by 96.7 %, and by 96.3 % in the case of four interior sections. Water cost reduction is also observable at the same output salinity, with 54.1 % at 0 ppm and 62.4 % at 200 ppm between number of interior sections = 0 and 4.

Low complexity beamforming design in reconfigurable intelligent surface-assisted communication systems

Due to the possibility of blockage during communication, the communication quality may be poor. Therefore, Reconfigurable Intelligent Surface (RIS) technology can effectively solve this problem. In order to increase the capacity of RIS-assisted wireless communication systems, joint optimization of beamforming design is crucial. However, the complexity of the optimization algorithm increases with the increase in the number of base station antennas and RIS elements deployed. Therefore, we propose a joint low-complexity optimization beamforming design based on fractional programming (FP) to address this issue. Specifically, we first use perfect channel state information to maximize the system's sum rate, as this problem is non-convex, we decompose the original problem into three sub-problems, and then introduce appropriate auxiliary variables. We derive optimal closed-form solutions for active and passive beamforming types, respectively. As the optimal solution obtained leads to higher computational complexity with an increase in the number of base station antennas and RIS elements, we reduce the computational complexity of obtaining the optimal solution based on the Woodbury transformation and scalar transformation. The proposed algorithm is also extended to the case where there is channel state information error. Finally, simulation results show that the proposed algorithm has certain advantages over other algorithms.

Assessment of Confidence on Care of Patient with Delirium among Nurses

Introduction In multispecialty hospitals, delirium is one of the psychiatric emergency conditions that frequently arise for medical causes. The safety and healing of the delirious patient will benefit from the medical team's prompt attention. When delirious patients are admitted to medical, intensive care, or emergency rooms, nurses are the most crucial experts to respond quickly and confidently. Therefore, it is imperative that the confidence of nurses in their ability to care for patients with delirium be assessed immediately. This study was aimed to assess the level of confidence on care of patient with delirium among nurses at selected hospital, Chennai.  Material & Methods This study was conducted by using the cross sectional, correlational research design among 50 nurses who were selected through purposive sampling technique in a selected hospital, Chennai, India. A four-point Likert scale was employed as the rating system to evaluate the degree of confidence. The self- administration method was used to collect data.  Results Most of the nurses had low level of confidence (70%) for caring of delirious patients and all the nurses had below average level of mean% with their confidence levels in both knowledge and skills.  Conclusion The majority of nurses require education and training to boost their confidence in their ability to care for patients with delirium in terms of both knowledge and practice. Nurses working in multispecialty hospitals will be fully confident in their ability to deliver high- quality nursing care after studies employing a variety of novel ways on nursing care for patients with delirium are implemented.

Controlling shareholders, their incentives and corporate governance ratings

PurposeThis study aims to facilitate the development of a better understanding of how controlling shareholders respond to the mandatory system of corporate governance rating (CGR) for all firms listed on Taiwanese stock markets and the incentives of controllers to apply corporate governance best practices.Design/methodology/approachUsing CGR data for all Taiwanese listed firms from 2014 to 2020, this study examines whether controlling shareholders determine a firm’s CGR.FindingsSingle-family-controlled firms have the lowest CGRs, and management-controlled firms have the highest ratings. Blockholder-controlled firms are more likely to have top 20% ratings than single-family-controlled firms and bottom 20% ratings than single-family and management-controlled firms. All three categories of firms have unfavorable (favorable) ratings because of substitute governance effects (signaling effects).Originality/valueManagement-controlled firms, in which agency problems refer to principal-agent conflicts, are more likely to have good ratings than single-family controlled firms, in which agency problems refer to principal-principal conflicts. Blockholder-controlled firms have extreme ratings, suggesting that multiple large shareholders develop corporate governance practices consistent with their best interests to increase firm value or expropriate wealth. Low cash flow rights and high control-ownership divergence lead firms to adopt additional governance arrangement(s) to make shareholders trust firms with capital and signal to shareholders that they can trust them with their capital.

PROBLEMS OF VISUAL QUALITIES OF THE ARCHITECTURAL ENVIRONMENT IN GREEN STANDARDS

The architectural community, which is closely involved in green standards, is already aware of the need to consider the aesthetic qualities of the architectural environment in rating systems of environmental certification. The study’s relevance is related to the need to find ways to factor the impact of the aesthetic component of architecture on human health in architectural projects. The purpose of the study is to justify the need to include the aesthetic properties of architectural objects under design in rating systems for environmental certification of architecture. Rating systems for environmental certification of buildings are not universal; each has its characteristics. Analysis of the most common systems shows that they do not take into account and do not regulate the appearance of buildings from the point of view of human visual perception. At the same time, the visual and aesthetic qualities of the architectural environment affect human health and well-being, which makes them components of ecology and a matter for consideration. The author’s research focuses on some of the most common and basic standards: LEED, BREEAM, and WELL. We determined that several green standards address the visual impact of architecture as a component of human health and ecology. We also found that during certification, according to the relevant standard, in most cases, the visual impact comes down to providing a view from the window, the level of lighting inside the room, and insolation, among others. At the same time, there is no regulation of the aesthetic impact of a building on a person; there is no methodology for its evaluation. There is an obvious need to consider the aesthetic qualities of architecture. Its quantification and scoring are possible within the framework of the corresponding credits of the environmental certification rating system. For this, we propose an appropriate technique, which consists of conducting a statistical survey of some categories of respondents who answer a series of questions about visual perception and give a generalised assessment of the architectural project. The study substantiates the expediency of introducing criteria for assessing the aesthetic properties of architectural structures into the system of green standards; it analyses the requirements of green standards regarding the aesthetic properties of the architectural environment. The article also develops the principles of forming criteria for assessing the aesthetic properties of architectural structures. It argues that the aesthetic visual qualities of architectural objects affect human health and that we should consider them in the environmental certification systems of architecture. Therefore, the study is forming a unified green standard template, one of the criteria of which will allow for the awarding of points for the visual environmental friendliness of a building undergoing green certification. Keywords: green standards, BREEAM, LEED, visual ecology, visual qualities, aesthetic properties.

Improving efficiency in green tea production time using lean manufacturing approach with value stream mapping: A case study at PT Candi Loka [Perbaikan efisiensi waktu produksi teh hijau menggunakan pendekatan produksi ramping dengan value stream mapping: Studi kasus di PT Candi Loka

Green tea production activities at PT Candi Loka indicated a time-consuming, which caused process efficiency to be less than optimal. Process efficiency improvements must be made to increase company competitiveness and consumer satisfaction. This research aimed to analyze the efficiency of green tea production time at PT Candi Loka by identifying the processing time required in each production activity, including the time consumption and formulating recommendations for improvement using a lean manufacturing approach using the VSM (Value Stream Mapping) method. There were 30 activities in 6 processes consisting of receiving raw materials, withering, rolling, drying, and packaging. Identification of value streams using the PAM (Process Activity Mapping) tool produced 9 Value added (VA) activities, 19 Necessary but Non-Value Added (NNVA) activities, and 2 Non-Value Added (NVA) activities in the form of delays in the withering and drying processes. In the current state map analysis, the production lead time value was 315.286 seconds. Recommended improvements to eliminate delays in the withering process were to set up the rotary panner machine earlier and increase the number of supervisors, while to eliminate delays in the drying process were to implement a piece rate system. Increasing efficiency was also carried out by improving NNVA activities by adding weighbridge facilities and using a conveyor system. The future state map proposed by implementing recommended improvements resulted in an increase in production time efficiency to 222.356 seconds and an increase in the process cycle efficiency value from 58.95% to 84.85%.

The role of myeloid differentiation of hematopoietic stem cells in pregnancy immunological tolerance: a systematic review.

The present research aimed to conduct a comprehensive critical analysis of existing literature, focusing on the differentiation of myeloid cells from hematopoietic stem cells within the context of immunological tolerance during pregnancy. A comprehensive systematic review was conducted by searching databases including PubMed, Scopus Biomedicine, EBSCOhost, ScienceDirect, Embase, Cochrane Library, and Web of Science. The focus was on the role of myeloid differentiation from hematopoietic stem cells in modulating immune tolerance, particularly during pregnancy and in certain disease states where they act to suppress the immune response. The quality of the evidence gathered was assessed using the GRADE rating system. Our analysis maintains objectivity and independence from the outcomes presented. The current systematic review offers a synthesis of existing research on the transformation of hematopoietic stem cells into fibroblasts across different tissue types. A thorough search of databases such as PubMed, EBSCOhost, Embase, ScienceDirect, Cochrane Library, and Web of Science was performed in conjunction with a specialist in medical information to identify original research on the derivation of fibroblasts following hematopoietic stem cell transplantation. This search yielded a total of 159 studies, of which 10 met the criteria for inclusion in this review. Reflecting on the constraints of this preliminary review, further in-depth and scientific investigations are warranted to comprehensively assess the impact of varied treatments, with a recommendation for clinicians to proceed with increased circumspection. The myeloid differentiation pathway of hematopoietic stem cells is pivotal in modulating the immune environment during pregnancy, supporting the sustenance of a healthy gestational period. Future research in this domain is expected to advance our understanding of the immunological processes occurring at the maternal-fetal boundary.

Cluster-Based Strategy for Maximizing the Sum-Rate of a Distributed Reconfigurable Intelligent Surface (RIS)-Assisted Coordinated Multi-Point Non-Orthogonal Multiple-Access (CoMP-NOMA) System.

This article proposes a distributed intelligent Coordinated Multi-Point Non-Orthogonal Multiple-Access (CoMP-NOMA) collaborative transmission model with the assistance of reconfigurable intelligent surfaces (RISs) to address the issues of poor communication quality, low fairness, and high system power consumption for edge users in multi-cellular networks. By analyzing the interaction mechanisms and influencing factors among RIS signal enhancement, NOMA user scheduling, and multi-point collaborative transmission, the model establishes RIS-enhanced edge user grouping and coordinates NOMA user clusters based on this. In the multi-cell RIS-assisted JT-CoMP NOMA downlink transmission, joint optimization of the power allocation (PA), user clustering (UC), and RIS phase-shift matrix design (PS) poses a challenging Mixed-Integer Non-Linear Programming (MINLP) problem. The original problem is decomposed by optimizing the formulas into joint sub-problems of PA, UC, and PA and PS, and solved using an alternating optimization approach. Simulation results demonstrate that the proposed scheme effectively reduces the system's power consumption while significantly improving the system's throughput and rates.

Enhancing early detection of lung cancer: A strategic initiative to boost screening rates among patients.

e22512 Background: Lung cancer is the top cause of cancer death in the U.S. Despite LDCT screenings reducing mortality, uptake is low in Alabama and nationally (6% vs. 4.5%). The U.S. Preventive Services Task Force recommends annual LDCT for certain high-risk adults, but factors like awareness, access, and policy affect screening rates. Alabama's situation is worsened by rural disparities and socioeconomic issues. Infirmary Health is the largest private, not for profit health care system in the state of Alabama. This study focuses on evaluating LDCT screening in a selected clinic of our health care system, pinpointing obstacles to adherence, and seeking ways to boost screenings to lower lung cancer mortality through early detection. Methods: As part of the Summer 2023 ASCO Quality Training Program we adopted a QI approach to increase LDCT lung cancer screening. It began by assessing baseline screening rates and staff knowledge, then created problem and aim statements. The team conducted root cause analysis, used a Pareto chart for issue prioritization, and employed a Priority Pay-off Matrix to focus on impactful, feasible issues. The Plan-Do-Study-Act (PDSA) cycle was then used to develop, test, and implement interventions, ensuring strategic alignment and effective monitoring of outcomes to enhance screening rates. Results: From January to July 2023, the Infirmary Health -Hillcrest clinic had a low 10.53% LDCT screening rate (system wide 6%, this clinic was selected due to it's highest screening rate), leading to late-stage lung cancer diagnoses and higher mortality. To address this, a goal was set to triple the screening rate to 30% by December 2023. Key barriers identified were staff and patient knowledge about lung cancer screening and a cumbersome LDCT ordering process. A PDSA cycle initiated between September and December 2023, firstly focused on Patient/Clinic Education, increasing screening rates by simplifying the process—removing doctor signature requirements and enhancing staff knowledge through meetings and informative flyers. The subsequent phase introduced a Nurse Navigator, who further increased screenings through prescreening, staff reminders, and on-site visits. By December of 2023 the LDCT screening rate was increased from baseline 10.53% to 33.3%. Conclusions: Through identifying and addressing key issues like education, faulty process and nurse navigation we successfully elevated LDCT screening rates. This study highlights the benefit of participating in a structured quality training program. [Table: see text]

Effects of warming at embryonic and larval stages on tadpole fitness in high-altitude Rana kukunoris

Global warming may affect the early developmental stages of high-altitude amphibians, thereby influencing their later fitness. Yet, this has been largely unexplored. To investigate whether and how the temperatures experienced by embryonic and larval stages affect their fitness at later developmental stages, we designed two experiments in which the embryos and larvae were treated with three temperatures (24, 18 and 12 °C), respectively. Then, the life history traits of the tadpoles during the metamorphotic climax in all treatments were evaluated, including growth rate, survival rate, morphology, thermal physiology, swimming performance, standard metabolic rate (SMR), oxidative and antioxidative system, and metabolic enzyme activities. The results revealed that elevated temperature accelerated metamorphosis but decreased body size at metamorphosis. Additionally, warming during the embryonic and larval stages decreased the thermal tolerance range and induced increased oxidative stress. Furthermore, high embryonic temperature significantly decreased the hatching success, but had no significant effect on swimming performance and SMR. Warming during larval periods was harmful to the survival and swimming performance of tadpoles. The effect size analysis revealed that the negative impacts of embryonic temperature on certain physiological traits, such as growth and development, survival and swimming performance, were more pronounced than those of larval temperature. Our results highlight the necessity for particular attention to be paid to the early stages of amphibians, notably the embryonic stages when evaluating the impact of global warming on their survival.

Investments in Scientific Teaching Staff – Main Determinant of Quality Medical Education

Abstract Science has emerged as a powerful tool to facilitate researchers in conducting trustful summary of achievements in clinical practice. Science has a leading role in modern medicine as it allows prediction of the future development of new scientific ideas, formulating the prospects for future development. The purpose of the article was to make a comparative analysis and evaluation of the allocated funds for scientific and teaching staff hired under second employment contract in the university clinics or accredited teaching hospitals or departments for clinical training of the Medical University – Sofia for the period 2013-2022, and to show the effectiveness of investing in human capital. For the purposes of the research, the following were used: documentary method, analysis and synthesis and comparative method. During the analyzed period, a permanent tendency towards a decrease in the total number of clinical teachers in all clinical training centres was observed. The total amount of funds spent on the wage fund for the ten-year period increased by 35.7% compared to the beginning of the period. The increase in the funds for the salary fund of the clinical teachers stems from the policy that was introduced in 2016 with the Collective Labor Agreement – together with the social partners stimulation (bonus) for theoretical and practical training of medical students both in the Bulgarian language (state order), as well as payment for English language training. With a view to improving the quality of education of future healthcare Professionals, MU – Sofia continuously invests its own funds in its scientific and teaching staff. Proof of the effectiveness of the invested funds are the results of the last 10 years of the Rating System of the higher schools in the Republic of Bulgaria, in which MU – Sofia was ranked first in the five professional areas in which it conducts training.

Forecasting Hourly Wildfire Risk: Enhancing Fire Danger Assessment Using Numerical Weather Prediction

Abstract Wildfire agencies use fire danger rating systems (FDRSs) to deploy resources and issue public safety measures. The most widely used FDRS is the Canadian fire weather index (FWI) system, which uses weather inputs to estimate the potential for wildfires to start and spread. Current FWI forecasts provide a daily numerical value, representing potential fire severity at an assumed midafternoon time for peak fire activity. This assumption, based on typical diurnal weather patterns, is not always valid. To address this, we developed an hourly FWI (HFWI) system using numerical weather prediction. We validate HFWI against the traditional daily FWI (DFWI) by comparing HFWI forecasts with observation-derived DFWI values from 917 surface fire weather stations in western North America. Results indicate strong correlations between forecasted HFWI and the observation-derived DFWI. A positive mean bias in the daily maximum values of HFWI compared to the traditional DFWI suggests that HFWI can better capture severe fire weather variations regardless of when they occur. We confirm this by comparing HFWI with hourly fire radiative power (FRP) satellite observations for nine wildfire case studies in Canada and the United States. We demonstrate HFWI’s ability to forecast shifts in fire danger timing, especially during intensified fire activity in the late evening and early morning hours, while allowing for multiple periods of increased fire danger per day—a contrast to the conventional DFWI. This research highlights the HFWI system’s value in improving fire danger assessments and predictions, hopefully enhancing wildfire management, especially during atypical fire behavior.

Sustavi ocjenjivanja održivosti infrastrukturnih građevina

In light of global changes and in line with the principles of sustainable development, there is a need to find criteria for assessing the sustainability of infrastructure in the construction sector. This paper provides an overview of the theory of sustainability in general and in the construction sector, as well as the policies and strategies at the global and national levels that aim to achieve sustainable development. Various rating systems for the sustainability assessment of infrastructure are listed as a methodology for evaluating the implementation of sustainable approaches in the realisation of new infrastructure projects. The three rating systems for sustainability assessment Envision, BREEAM Infrastructure and Infrastructure Sustainability (IS), which can be used to assess the sustainability of all types of infrastructure and to obtain a certificate for the application of sustainability principles, are presented and discussed in more detail.